TY - JOUR
KW - Aged
KW - Case Management/organization & administration
KW - Chronic Disease
KW - Community Networks/organization & administration
KW - Continuity of Patient Care/organization & administration
KW - Decision Support Techniques
KW - Depressive Disorder/diagnosis/etiology/prevention & control
KW - Health Promotion/organization & administration
KW - Health Services Needs and Demand
KW - Humans
KW - Information Services/organization & administration
KW - Long-Term Care/organization & administration
KW - Mental Health Services/organization & administration
KW - Models, Nursing
KW - Models, Organizational
KW - Nurse-Patient Relations
KW - Patient Care Team/organization & administration
KW - Primary Health Care/organization & administration
KW - Psychiatric Nursing/organization & administration
KW - Systems Analysis
KW - Total Quality Management/organization & administration
AU - P. McEvoy
AU - P. Barnes
A1 - 
AB - Effective psychological and pharmacological treatments are available, but for depressed older adults with long-term physical conditions, the outcome of routine care is generally poor. This paper introduces the chronic care model, a systemic approach to quality improvement and service redesign, which was developed by Ed Wagner and colleagues. The model highlights six key areas that need to be addressed, if depression is to be tackled more effectively in this neglected patient group: delivery system design, patient-provider relationships, decision support, clinical information systems, community resources and healthcare organization. Three influential programmes, the Improving Mood Promoting Access to Collaborative Treatment programme, the Prevention of Suicide in Primary Care Elderly Collaborative Trial, and the Program to Encourage Active, and Rewarding Lives for Seniors, have shown that when the model is adopted, significant improvements in outcomes can be achieved. The paper concludes with a case study, which illustrates the difference that adopting the chronic care model can make. Radical changes in working practices may be required, to implement the model in practice. However, Greg Simon, a leading researcher in the field of depression care, has suggested that there is already sufficient evidence to justify a shift in emphasis from research towards dissemination and implementation.
BT - Journal of psychiatric and mental health nursing
C5 - HIT & Telehealth; Healthcare Policy
CP - 3
CY - England
DO - 10.1111/j.1365-2850.2007.01066.x
IS - 3
JF - Journal of psychiatric and mental health nursing
N2 - Effective psychological and pharmacological treatments are available, but for depressed older adults with long-term physical conditions, the outcome of routine care is generally poor. This paper introduces the chronic care model, a systemic approach to quality improvement and service redesign, which was developed by Ed Wagner and colleagues. The model highlights six key areas that need to be addressed, if depression is to be tackled more effectively in this neglected patient group: delivery system design, patient-provider relationships, decision support, clinical information systems, community resources and healthcare organization. Three influential programmes, the Improving Mood Promoting Access to Collaborative Treatment programme, the Prevention of Suicide in Primary Care Elderly Collaborative Trial, and the Program to Encourage Active, and Rewarding Lives for Seniors, have shown that when the model is adopted, significant improvements in outcomes can be achieved. The paper concludes with a case study, which illustrates the difference that adopting the chronic care model can make. Radical changes in working practices may be required, to implement the model in practice. However, Greg Simon, a leading researcher in the field of depression care, has suggested that there is already sufficient evidence to justify a shift in emphasis from research towards dissemination and implementation.
PP - England
PY - 2007
SN - 1351-0126; 1351-0126
SP - 233
EP - 238
EP - 
T1 - Using the chronic care model to tackle depression among older adults who have long-term physical conditions
T2 - Journal of psychiatric and mental health nursing
TI - Using the chronic care model to tackle depression among older adults who have long-term physical conditions
U1 - HIT & Telehealth; Healthcare Policy
U3 - 10.1111/j.1365-2850.2007.01066.x
VL - 14
VO - 1351-0126; 1351-0126
Y1 - 2007
ER -